| NPI | 1457755423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SARA COHEN Owner/O PT Ometrist 505-341-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NM NM505) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 901) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2024-06-11 |